HomeMy WebLinkAbout1400 ~ STATE OF FLORIDA 2~~1 ~
FOC FORM UGT - 18 UEPARTNENT OF' COMMERCE
IREV. 7i73)
D1VIS10N OF EMPLOYMENT SECURITl'
TALLAHASSEE 32304 ~~ccount No. 18SO62
NOTICE OF TAX LIEN Lien No. v-791
Pursuant to the provisions oi Sectiots 4~3.15 (3) (a), Florida Statutes, known as the Florida Un-
employment Compensacion law, notice is hereby given thac there ha~e been assessed, pursuanc co the
provisions of said law, against Alice H. Chavers T/A A1's Coffee Shop
917 Avenue D, Ft. Pierce, Florida 33~50
an "employer" liable for the payment of contributions to the L'nemployment Compensation Fund of
Florida, pursuant to the provisions of said law, the sum of ~q1~ covering the folloR•inR
~ concributions, interest and penalcies, a•hich afcer demand for payment chereo( remain unpaid, and
that by virtue of the abo~•e mentiorted law the amount of said contributions (taxesj,~ togrther a•ith
penalties, interest, and costs that may accrue in addition thereto, constitute a lien in favor of Staie ot
Florida Departmenl ot Commerce upon che citl.e to and incerest, whecher Iega! or .equicable, in any real
property, chattels real, or personal property of said employer.
Per:ods for ahich contributions, ir,terest, and penalties ~a~•e b~ER assessed, an~1 the amuuncs
chereof, are as folloa•s:
INTEREST THROUGH
PER100 COttTRlSJTfONS PENALTIES
lst Quarter 1972 17 28 1 20
` 2nd Quarter 1972 1~+ 73 81 F~LE~ AND RECO ~ED
' 3rd Quarter ].972 Zp 92 ii_tUC1E COUMT tA.
~ ROCER. POiTq S
! 4th Quarter 1972 9 40 36 CIERK C1~RCUlt uRT
~ RECORD VERtftfO
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"s TOTAL ~j2 23 2 pl {
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3 WITNF.SS THE OF'FICIAL SEAL OF THE STATE OF' FLORIDA DEPART~IEIiTOF f,01f~fERCF
and t6e ~and of ihe DirecGar oI the Di~~ision ot Emplo~-ment Securilj therPOt. al Tall+thassee, Florida,
this 2 day oi Septe~ber , q, p, ly 73
: ` . ~ STATF OF FLORIDA
DEPARTNENT OF COMMERCE
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i . #'°sGument~M'~pued by:
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~ ~,BepKet~nent o{~m,~herce D~RECTOR, D~VISION OF
EMPLOYMENT SECURITY
; G~i118~t1'.8fd~;o T~llahassee. Fla.
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